Posts in category: Nursing Papers

NURS-6501 week 1 Discussion: Alterations in Cellular Processes Sample Paper 1

Week 1 Discussion: Alterations in Cellular Processes Sample Paper

Explaining cystic fibrosis (CF) to the mother would include an overview of the disease itself including its presentation and explanation of the symptomology as well as an explanation of its pathophysiology.  The explanation would include the fact that cystic fibrosis is one of the most common autosomal recessive diseases in Caucasian populations (if patient noted as Caucasian) and is caused by mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene (Davies & Aurora, 2019).  Because of the mutation in the CFTR gene, there is dysfunction of chloride ion transportation across the epithelial cells.  These epithelial cells line the respiratory and digestive tracts and exhibit defective chloride secretion and excess sodium absorption.  Both contribute to viscous mucous and promote inflammation which cause the respiratory and gastrointestinal clinical manifestations.  Additionally, impaired immune cell responses are instrumental to lung disease severity (Ideozu, Rangaraj, Abdala-Valencia, Zhang, Kandpal, Sala, Davuluri, & Levy, 2019).

The 6-month-old female presented as such because gastrointestinal manifestations often proceed pulmonary symptoms (McCance & Huether, 2019).  The baby’s colic, crying episodes after eating, and swollen belly can all be symptomology (physiologic response) related to gastroesophageal reflux, inflammation, abdominal distention, distal intestinal obstruction, bacterial overgrowth, slow transit time, or inflammatory bowel disease caused by secretory dysfunction of the malfunctioning epithelial cells of the intestines and bowel (De Freitas, Moreira, Tomio, Moreno, Daltoe, Barbosa, Neto, Buccigrossi, & Guarino, 2018).  The lack of weight gain despite good appetite could be attributable to pancreatic insufficiency which causes nutrient malabsorption and failure to thrive often present in children with CF (McCance & Huether, 2019).  The mother’s perception that the baby tastes “salty” is reflective of the CFTR ineffectively moving salt in the body.  The salt travels to the skin’s surface and is not reabsorbed.

As it pertains to the mother’s question of having more children, CF is an autosomal recessive disease.  This entails the disease often seen in siblings but not parents; equal proportions of males and females affected; and on average, one-fourth of offspring of carrier parents affected (McCance & Huether, 2019).  Given that information and recommendation for genetic counseling, the parents can make an informed decision whether or not to have more children.  Furthermore, given the son’s ongoing respiratory problems, he should be tested for CFTR mutation and genotyping as well as the measurement of sweat chloride concentration as CF occurs equally in males and females (Sosnay, Salinas, White, Ren, Farrell, Raraigh, Girodon, & Castellani, 2017).  Further gender considerations would include inquiry into her daughter’s diet as girls with CF have more difficulty meeting growth requirements.  Exclusively breastfed babies receive metabolites that provide protection against intestinal inflammation (De Freitas et al., 2018).

References

Davies, G., & Aurora, P. (2019). A simple screening test for cystic fibrosis? Indian 

Pediatrics, 56(2), 105–106.

De Freitas, M. B., Moreira, E. A. M., Tomio, C., Moreno, Y. M. F., Daltoe, F. P., Barbosa, E.,

Neto, N. L., Buccigrossi, V., & Guarino, A. (2018). Altered intestinal microbiota

composition, antibiotic therapy and intestinal inflammation in children and adolescents

with cystic fibrosis. Plos One, 13(6), e0198457. Retrieved form

/orders/doi-org.ezp.waldenulibrary.org/10.1371/journal.pone.0198457

Ideozu, J. E., Rangaraj, V., Abdala-Valencia, H., Zhang, X., Kandpal, M., Sala, M. A., Davuluri,

R. V., & Levy, H. (2019). Transcriptional consequences of impaired immune cell

responses induced by cystic fibrosis plasma characterized via dual RNA

sequencing. BMC Medical Genomics, 12(1), 66. Retrieved from

/orders/doi-org.ezp.waldenulibrary.org/10.1186/s12920-019-0529-0

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in 

adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.

Sosnay, P. R., Salinas, D. B., White, T. B., Ren, C. L., Farrell, P. M., Raraigh, K. S., Girodon, E.,

& Castellani, C. (2017). Applying cystic fibrosis transmembrane conductance

regulator genetics and CFTR2 data to facilitate diagnoses. The Journal of

Pediatrics, 181S, S27–S32.e1.  Retrieved from

/orders/doi-org.ezp.waldenulibrary.org/10.1016/j.jpeds.2016.09.063

NURS-6501 week 1 Discussion: Alterations in Cellular Processes Sample Paper 2

Cystic Fibrosis (CF) is an autosomal recessive inherited disorder arising from a defective protein called cystic fibrosis transmembrane conductance regulator (CFTR) which disrupts the normal function of epithelial cells that line the passageways of the respiratory, digestive and reproductive organs (McCance and Huether, 2019). The CF gene is passed down by both parents and is found on chromosome 7 (McCance and Huether, 2019). The CFTR regulates the concentration of sodium, chloride, and water that passes across cell membranes. Sodium and chloride regulate the amount of mucus that coats the linings of the affected organs.

In a case with CF, CFTR insufficiency results in the interference of chloride secretion, sodium reabsorption, and water transport thus causing the body to produce viscous mucus and mucociliary dysfunction (Turcios, 2020).

CF is common among European culture. According to Turcois (2020), studies show that CF is more prevalent among whites with a 1 in 2,500 chances of the child inheriting the CF gene, however, all ethnicities are not immune to it.

In the scenario, the mother is concerned that her 6-month- old has intermittent abdominal distention, cries every so often after eating and does not gain weight despite having a good appetite. The reason is that the buildup of mucus in the pancreas leads to insufficient production of pancreatic enzymes which disrupts the absorption of proteins, fats and fat-soluble vitamins (A, D, E, K) which are needed for proper growth (McCance and Huether, 2019).  It is essential to educate the mother to adhere to proper nutrition and initiate the intake of pancreatic enzyme replacement therapy to counteract the malabsorption (Kulkami, Kansra, & Karande, 2019).

Since CF also affects the sweat glands, the CFTR disrupts the balanced excretion of sodium and chloride causing the buildup of sodium and water traveling to the skin surface which is why babies tend to taste salty (Kulkami, Kansra, & Karande, 2019).

As for the 23-month-old, the insufficient CFTR in the epithelial linings of the lungs produces thick and sticky mucus trapping pathogens such as bacteria, viruses and fungi that do not clear out as it should causing patients to have recurrent lung infections and inflammation (McCance and Huether, 2019).  Respiratory symptoms are likely to appear more in older infants than newborns (Turcios, 2020). Therefore, the mother should have her child tested for possible CF.

The mother also inquired about having more children.  The chance of a family member having a hereditary disorder is called recurrence risk (McCance and Huether, 2019). CF is an autosomal recessive disorder, meaning an individual inherits 1 copy of the defected gene from each parent (Kulkami, Kansra, & Karande, 2019).  Since both parents are carriers of the defective gene, they have 1 in 4 chances that their child may inherit CF, 1 in 2 chances that the child will be a carrier and 1 in 4 chances that the child will not be a carrier.

References

Kulkarni, H., Kansra, S., & Karande, S. (2019). Cystic fibrosis revisited. Journal of Postgraduate Medicine, 65(4), 193–196. /orders/doi-org.ezp.waldenulibrary.org/10.4103/jpgm.JPGM_263_18

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.

Turcios, N. L. (2020). Cystic Fibrosis Lung Disease: An Overview. Respiratory Care, 65(2), 233–251. /orders/doi-org.ezp.waldenulibrary.org/10.4187/respcare.06697

ADDITIONAL INSTRUCTIONS FOR THE CLASS

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – Week 1 Discussion: Alterations in Cellular Processes

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

• Guarantee

  

• Zero Plagiarism
• On-time delivery
• A-Grade Papers
• Free Revision
• 24/7 Support
• 100% Confidentiality
• Professional Writers

• Services Offered

• Custom paper writing
• Question and answers
• Essay paper writing
• Editing and proofreading
• Plagiarism removal services
• Multiple answer questions

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

For this Discussion, you examine a case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts.

To prepare:

• By Day 1 of this week, you will be assigned to a specific scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

By Day 3 of Week 1

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

• The role genetics plays in the disease.
• Why the patient is presenting with the specific symptoms described.
• The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
• The cells that are involved in this process.
• How another characteristic (e.g., gender, genetics) would change your response.

Read a selection of your colleagues’ responses.

By Day 6 of Week 1

Respond to at least two of your colleagues on 2 different days and respectfully agree or disagree with your colleague’s assessment and explain your reasoning. In your explanation, include why their explanations make physiological sense or why they do not

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

ADDITIONAL INSTRUCTIONS FOR THE CLASS

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – NURS-6501 week 1 Discussion: Alterations in Cellular Processes

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. NURS-6501 week 1 Discussion: Alterations in Cellular Processes

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. NURS-6501 week 1 Discussion: Alterations in Cellular Processes

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

• Guarantee

  

• Zero Plagiarism
• On-time delivery
• A-Grade Papers
• Free Revision
• 24/7 Support
• 100% Confidentiality
• Professional Writers

• Services Offered

• Custom paper writing
• Question and answers
• Essay paper writing
• Editing and proofreading
• Plagiarism removal services
• Multiple answer questions

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

NURS-6501 week 1 Discussion: Alterations in Cellular Processes

NURS-6501 week 1 Discussion: Alterations in Cellular Processes

Cystic Fibrosis (CF) is an autosomal recessive inherited disorder arising from a defective protein called cystic fibrosis transmembrane conductance regulator (CFTR) which disrupts the normal function of epithelial cells that line the passageways of the respiratory, digestive and reproductive organs (McCance and Huether, 2019). The CF gene is passed down by both parents and is found on chromosome 7 (McCance and Huether, 2019). The CFTR regulates the concentration of sodium, chloride, and water that passes across cell membranes. Sodium and chloride regulate the amount of mucus that coats the linings of the affected organs.

In a case with CF, CFTR insufficiency results in the interference of chloride secretion, sodium reabsorption, and water transport thus causing the body to produce viscous mucus and mucociliary dysfunction (Turcios, 2020).

CF is common among European culture. According to Turcois (2020), studies show that CF is more prevalent among whites with a 1 in 2,500 chances of the child inheriting the CF gene, however, all ethnicities are not immune to it.

In the scenario, the mother is concerned that her 6-month- old has intermittent abdominal distention, cries every so often after eating and does not gain weight despite having a good appetite. The reason is that the buildup of mucus in the pancreas leads to insufficient production of pancreatic enzymes which disrupts the absorption of proteins, fats and fat-soluble vitamins (A, D, E, K) which are needed for proper growth (McCance and Huether, 2019).  It is essential to educate the mother to adhere to proper nutrition and initiate the intake of pancreatic enzyme replacement therapy to counteract the malabsorption (Kulkami, Kansra, & Karande, 2019).

Since CF also affects the sweat glands, the CFTR disrupts the balanced excretion of sodium and chloride causing the buildup of sodium and water traveling to the skin surface which is why babies tend to taste salty (Kulkami, Kansra, & Karande, 2019).

As for the 23-month-old, the insufficient CFTR in the epithelial linings of the lungs produces thick and sticky mucus trapping pathogens such as bacteria, viruses and fungi that do not clear out as it should causing patients to have recurrent lung infections and inflammation (McCance and Huether, 2019).  Respiratory symptoms are likely to appear more in older infants than newborns (Turcios, 2020). Therefore, the mother should have her child tested for possible CF.

The mother also inquired about having more children.  The chance of a family member having a hereditary disorder is called recurrence risk (McCance and Huether, 2019). CF is an autosomal recessive disorder, meaning an individual inherits 1 copy of the defected gene from each parent (Kulkami, Kansra, & Karande, 2019).  Since both parents are carriers of the defective gene, they have 1 in 4 chances that their child may inherit CF, 1 in 2 chances that the child will be a carrier and 1 in 4 chances that the child will not be a carrier.

References

Kulkarni, H., Kansra, S., & Karande, S. (2019). Cystic fibrosis revisited. Journal of Postgraduate Medicine, 65(4), 193–196. /orders/doi-org.ezp.waldenulibrary.org/10.4103/jpgm.JPGM_263_18

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.

Turcios, N. L. (2020). Cystic Fibrosis Lung Disease: An Overview. Respiratory Care, 65(2), 233–251. /orders/doi-org.ezp.waldenulibrary.org/10.4187/respcare.06697

ADDITIONAL INSTRUCTIONS FOR THE CLASS

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – Discussion: Alterations in Cellular Processes

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

• Guarantee

  

• Zero Plagiarism
• On-time delivery
• A-Grade Papers
• Free Revision
• 24/7 Support
• 100% Confidentiality
• Professional Writers

• Services Offered

• Custom paper writing
• Question and answers
• Essay paper writing
• Editing and proofreading
• Plagiarism removal services
• Multiple answer questions

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

CAHIIM Curricular Competencies

CAHIIM Curricular Competencies

Evidence-Based Practice Project Proposal: Implementation Plan

Evidence-Based Practice Project Proposal: Implementation Plan

Grand Canyon University- NUR 590

August 4th 2022

Evidence-Based Practice Project Proposal: Implementation Plan

Bringing changes to medical institutions involves many aspects. Different people, stages, barriers or obstacles, and impetus are involved throughout the process (Byers, 2017). This section describes how to implement the proposed solution. The solution refers to the problem previously presented in the hypothesis. Important decisions include behavioral changes. As a result, the use of complementary and alternative therapies is critical in the healing process.

Setting and access to potential subjects

Execution of the suggested plans will be checked at five significant clinical areas. Enrollment of subjects to take part in the investigation will be voluntary. Advertisements will be shown over time so exceptionally that however many individuals reasonably expected can discover the message. According to Barber (2018), all human examination requires informed consent from all members. Patients with diminished fulfillment in the crisis office should communicate their desire to participate in the examination by signing the informed consent. Signing the form implies that the patient knows about the assumptions for the investigation.

Time needed

It is important to have a certain period to realize the problems of real-time location systems. The use of the intervention strategy is essential to reduce the level of treatment left (LWBT) and increase income collection. The entire project will take five months. It takes a couple of months to develop the system, including testing and participation of all San Francisco health-care system providers. Comment by Marina Reade: I would like a bit more specific of a timeline as to what needs to occur in what order for example week 1…, week 2

Resources Needed

The resources of this system are different. Information technology, health-care professionals, support services, and suppliers represent human resources. These resources will be used to analyze the current system. The required clinical tools are analyzed during the workflow, and the EHR requires analysis. The implementation phase requires resources to simplify the task. This process means that you need to allocate a budget to cover the cost of the resources you need. The implementation phase is one of the most costly, and many change projects fail because they cannot collect all the resources they need. In the implementation process, the proposed solution, namely; reducing LWBT and increasing revenue, requires the following resources: The first important resource is the doctors in charge of various institutions. A real-time Location system will also be needed. Clinical researchers and doctors will be important contributors to my project. They train people in the community to support the projects. Patients can also provide information about who can participate in the project. As the system evolves, financial resources depend on human and technical resources. At this time, it is difficult to determine the cost. The factors that affect cost are the development of additional system software and hardware for auxiliary vendors. Comment by Marina Reade: Who would you want to get involved and how would you find the clinical researcher that is vested in your intervention?

Instruments and Methods for Monitoring the Implementation

The use of surveys is the most important component in evaluating the implementation of the recommended solution. These surveys will be sent to patients once a month as google forms. This is meant to adhere to COVID 19 health measures, which will limit physical contact amongst individuals. This method is recommended because it is easy to analyze (Patten, 2015). This method is well known to the staff and managers of many medical institutions. The use of surveys is also essential to reduce the cost of surveys. Most respondents answered or asked about the survey early in their lives. This can easily be combined with a simple progress question, as you need to check the box or X next to the question. Another advantage is that you can answer honestly because the answers are completed individually and privately.

The Intervention Delivery Process

The proposed solution will be delivered using an integrated way. The adoption of the system is one of the major interventions to be used. The participants will be educated on how to use the system. Without leaving anyone behind, all of the participants will take part in the intervention. Before doing the activity, it is critical to provide training and information on what to do and what not to do. The participants of the study will also be notified of the benefits of effectively using the system. The system will essentially improve the outcome of the research. Comment by Marina Reade: This paragraph is very vague about the intervention and using the system. I would have liked more specifics about you discussing what system and what intervention and how that will be delivered

Data Collection Plan

There are two data collection processes. The first is a survey of providers about the data items that the team has identified as needed, such as system usability and ease of use, and what else is needed. The second is the appointment of paid patients and the specific areas required by the Housing Development Department. During the data collecting phase of the survey, data will be collected continuously throughout the course of the 5-month period. After the intervention, participants are a good source of information on how things are going. Each week, participants fill out a form with the outcomes of their exposure to the system. The results show the effectiveness of interventions to reduce untreated levels (LWBT) and increase income. Data is gathered and entered into an Excel spreadsheet. When the research is over, the next stage is to interpret and analyze the findings. The data collection questionnaire will be comparable to the data collection questionnaire used to monitor the implementation.

Approaches to Dealing with Obstacles

Many healthcare facilities, especially free ones, lack the necessary training personnel (Naidu et al., 2020). Partnerships with higher education schools will be fruitful because many of them have the best training facilities in their sports departments. Other challenges will be based on the system’s running, whereby at some point, the systems may fail, thereby making it challenging to collect required data. This issue will be addressed by ensuring that a backup plan prevails. Training and workshops are conducted at each implementation stage to help each supplier and staff adapt to the system, increase the level of comfort and reduce implementation barriers. The introduction of laptop and tablet computers simplifies the use of the system by suppliers and further increases adoption opportunities.

The Plan’s Implementation Feasibility

Various costs will be incurred during the project, particularly during the implementation phase. The trainer fee is one of the expenses incurred. Because the study will only last a few weeks, it would be more cost-effective to recruit rather than pay trainers. Some of the costs that will be incurred during the implementation are listed below. Some costs will be incurred as far as the design and evaluation of the system is concerned. A usability test is paramount in the utilization of the system. The usability test will be carried three weeks before the pilot study to identify some of the challenges. When the study runs for five months, a data storage device will be required to store the data obtained.

Plan for the proposed solution’s maintenance, extension, revision, and discontinuation.

Based on the obtained data, the choice may include extending, sustaining, changing, or even terminating the intervention. The decision-making process is based on the results of the questionnaire given to the participants. The success of the data collection process was leveraged to provide positive feedback, allowing a preliminary choice to be made. Biweekly meetings and implementation plans that include feedback from vendors and staff who use the system are feasible. Advances in technology require various security checks, among others (Painuly et al., 2020). These changes are planned as needed, and the IT and Nursing Informatics Department will initiate the changes. The IT and Nursing Informatics department works with service providers, billing, and support departments as needed. Changes will be evaluated periodically to determine the needs of the change and the feasibility of the timeline.

Daysha,

Good job with your implementation plan and identifying what barriers you would need to overcome and stakeholders you need to engage to make this plan successful. Some of the content of your paper was a bit vague and did not show a clear path of implementation. I did not see that you included appendixes of the informed consent or the timeline.

Marina

Reference

Barber, B. (2018). Research on human subjects: Problems of social control in medical experimentation. Routledge

Byers, V. (2017). The challenges of leading change in health‐care delivery from the front‐line. Journal of Nursing Management, 25(6), 449-456.

Naidu, P., Fagan, J. J., Lategan, C., Devenish, L. P., & Chu, K. M. (2020). The role of the University of Cape Town, South Africa, in the training and retention of surgeons in Sub-Saharan Africa. The American Journal of Surgery, 220(5), 1208-1212.

Painuly, S., Kohli, P., Matta, P., & Sharma, S. (2020, December). Advance applications and future challenges of 5G IoT. In 2020 3rd International Conference on Intelligent Sustainable Systems (ICISS) (pp. 1381-1384). IEEE.

Patten, M. (2016). Questionnaire research: A practical guide. Routledge.

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. Evidence-Based Practice Project Proposal: Implementation Plan

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Benchmark- Framework or Model for Change

Benchmark- Framework or Model for Change

NUR- 590

Professor Marina Reade

July 21, 2022

Change Process

Implementation Of Real-Time Location Systems In The ED

Few phases fail to sustain a fast move in adopting the change. Lewin’s model mostly becomes concerned with reinforcing the “change” over a prolonged period to overcome rejection and give enough training. The ED should utilize Lewin’s change model for change as the selected framework because it has solid support from senior hospital management and needs to make the entire healthcare facility dynamic by adopting real-time location systems in emergence service delivery.

Model’s Stages And Their Application In The ED

Under this model, the ED department will focus on the three-stage model that breaks changes into manageable phases of unfreezing, changing, and refreezing.

Unfreezing

In unfreezing chunk, the project team under its project manager will first “unfreeze” the ED’s current process and analyze its process improvement. Under this analysis, both patients and healthcare providers at the ED department affected by the change will understand the need to replace the manual system with the automated one (Šuc et al., 2019). Then, the project team will make its changes and guide nurses at the ED throughout the transition. Once the real-time location system gets deployed and tweaked as per nurses’ feedback, the project manager will solidify or “refreeze” the new status quo.

Before implementing the automated system at the ED, this change needs to go through the model’s initial stage of unfreezing. Since the nurses at the ED will resist the computerized system, the objective during the unfreezing phase becomes to create an awareness of how existing manual systems at admission and discharge levels are undermining the ED’s ability to offer quality emergence care services. Hussain et al., (2018) reveal that outdated behaviors, thinking ways, processes, patients, and ED structures get placed under in-depth examination to disclose to ED nurses how crucial a change is for the whole hospital to establish or sustain a competitive edge in the healthcare setting.

Communication will become a vital aspect during this unfreezing stage to keep nurses updated on the change, the reason behind the new system, and how it brings advantages to them and the entire ED. This unfreezing stage intends to create change awareness and make it appear crucial and urgent while motivating those affected by the change to accept (Šuc et al., 2019). Thus, the project team can create communication plans to inform all stakeholders within the ED about the shift and allocate time for conducting change-based meetings and discussions.

Changing

A real-time location system change is when the ED has to transition into this new state of using a computerized system while abandoning the manual records in entering, storing, and retrieving patients’ data. The implementation of the new system characterizes this transitioning phase. The implementation period is when the change becomes real such that the ED entirely runs the automated systems in all areas of patient admission and discharge. During changing stage, the ED struggles with the new system adoption. For instance, ED nurses experience uncertainty and fear, thus making it the most challenging step to overcome. Since the ED nurses are “unfrozen,” they can start to move.

Physicians and nurses start learning new behaviors, processes, and ways of thinking in the transitioning phase. The more prepared these healthcare providers are for change, the easier it is to overcome and complete. Since change requires precise planning and execution, the team leading the change will educate nurses on using the automated system, communicating vital information, and supporting nurses who have not become familiar with the change (Burnes, 2020). ED nurses will be reminded of the reasons for the change throughout the entire change process and benefit them once it.

Refreezing

Refreezing is the last stage of the framework for the change. It symbolizes the actions such as reinforcement, stabilization, and solidification of the operations after the change. The changes made to the ED processes, objectives, structure, and patients will get approved and refrozen within the department (Memon et al., 2021). Through this stage, the department becomes guaranteed that nurses do not revert to their outdated ways of using the manual system.

Therefore, the project manager should ensure the newly implemented system is not lost. Instead, the ED will have to cement the change into the hospital’s culture and maintain it as the accepted way of delivering emergency care services. The ED can ensure positive rewards and appreciation of individualized commitments to reinforce change since it is believed that positively reinforced behavior tends to be repetitive. Nurses showing consistency in using the new system can get rewarded weekly to encourage further change reinforcement.

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses. Evidence-Based Practice Project Proposal Final

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. Evidence-Based Practice Project Proposal Final

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition. Evidence-Based Practice Project Proposal Final

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. Evidence-Based Practice Project Proposal Final

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score. Evidence-Based Practice Project Proposal Final

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Evidence-Based Practice Project Proposal Final

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. Evidence-Based Practice Project Proposal Final

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We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium. Evidence-Based Practice Project Proposal Final

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NUR- 590 Literature Evaluation Table

NUR- 590 Literature Evaluation Table

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SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – NUR- 590 Literature Evaluation Table

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium. Evidence-Based Practice Project Proposal Final

• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses. Evidence-Based Practice Project Proposal Final

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. Evidence-Based Practice Project Proposal Final

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition. Evidence-Based Practice Project Proposal Final

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. Evidence-Based Practice Project Proposal Final

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score. Evidence-Based Practice Project Proposal Final

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Evidence-Based Practice Project Proposal Final

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. Evidence-Based Practice Project Proposal Final

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We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium. Evidence-Based Practice Project Proposal Final

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Evidence-Based Practice Project Proposal: Evaluation Plan

Evidence-Based Practice Project Proposal: Evaluation Plan

Grand Canyon University

NUR-590

August 11th, 2022

Project Setting

This RTSL proposed project takes place in a vital access hospital emergency department (ED) that provides care services 24 hours daily and 365 days annually. This proposed facility for implementing the RTSL project includes Phoenix county in rural Arizona and two adjacent counties in rural Arizona.

The Expected Outcomes For The Project Proposal

After successfully implementing the project, the hospital expects to accomplish specific changes or results, mainly the ED. Since the RTSL project is about streamlining the workflow efficiency at the congested ED, the focus is benefiting stranded patients. The particular emphasis is enhancing the automation of the admission and discharge system. Therefore, the project’s expected outcomes are; eliminated delays due to shortened waiting time, reduced number of people leaving without being treated, increased revenue collection from the ED unit, and high patient satisfaction scores. These outcomes are aligned with the objectives and goals of the project of delivering quality healthcare services to every patient.

Data Collection Tools and One Data Collection Tool Effective For The Research Design

Since the selected research design is qualitative, the potential data collection tools are non-participant observations, informal conversational interviews, and observational process mapping (De Freitas et al., 2020). However, the best data collection tool effective for this research design is observational process mapping. This effectiveness is because, at the ED, one can observe the clinical pathway firsthand to note patients’ experiences while mapping the path to check areas that need improvements to ensure complete patient satisfaction. The observational process mapping employs direct observations to track process phases like ED patient activities, delays, admission decisions, and what happens to the patient. The map portrays the current form of the ED patient process and gets developed when patients experience the process (De Freitas et al., 2020). Thus, this mapping method depends on patient experience rather than perception or assumptions; therefore, making it a valid, reliable, and applicable tool.

Furthermore, during the mapping process, the presentation of different details may emerge. A high-level map will portray only the primary general steps in the process. De Freitas et al., (2020) reveal that a medium-level map presents great or maintained process steps, while a low-level map presents minute details of all stages. For instance, the patient car park lots, the patient seats in the waiting bay.

A Statistical Test For The Project

The selected statistical test for the project is the t-test. This statistical test as one type of inferential statistic determines the major difference between the means of two groups, which share particular features (Xu et al., 2017). In this project, the two groups are patients being admitted and discharged using the manual system and the other group using the automated system. Using the observational process mapping tool, it becomes easy to determine the differences using the t-test since the patient delays and admission activities for the two groups are closely noted and identified. In this qualitative research design, the data set recorded as the outcome from manual and automatic systems would follow a normal distribution (Xu et al., 2017). Thus, a t-test serves as a hypothesis testing tool, enabling testing an assumption that applies to the ED population’s challenges.

Methods Applicable To Observational Process Mapping

Group interviews, discovery workshops, direct work observation, and analysis of existing documentation are methods applicable to observational process mapping. Through group interviews, the mapping technique becomes reliable because the content of the process map is straightforward. Thus, a small sample of project participants will create a focused environment that helps collect necessary information via direct questioning of group members. Discovery workshops support the mapping tool when gaining consensus or buy-in from participants (O’Donovan et al., 2020). Generally, discovery workshops give comfort and engagement to the participants to acquire or capture the needed content for study.

Direct work observation becomes more efficient in ED, where the activities such as admission and discharge run manually. The method helps to oversee and observe tasks in real-time. For instance, in the ED, an observer observes the delays caused by using a manual system in entering, storing, and retrieving patient data. As a result of this observation, implementing the automated system guarantees better results since every patient admission process becomes computerized, and the workflow moves smoothly and rapidly.

The Outcomes Measurement and Evaluation

The outcome measurement and evaluation will be through interviews and focus groups based on the observational process mapping tool. Interviews conducted under controlled conditions with individuals or groups of people explore complex problems. Also, these interviews may be structured and performed with an unstructured set of questions asked in an open-ended approach. Similarly, tape-record interviews help measure and evaluate the outcomes since participants can recall a vital incident and describe the changes in detail (O’Donovan et al., 2020). When used to measure and assess outcomes, focus groups involve discussing ideas and insights to respond to open-ended questions of the researcher.

Strategies To Take If Outcomes Do Not Provide Expected Results

Since the research methodology, mainly in the discussion part, leads to unexpected findings or results, the best strategies to undertake are performing a detailed literature review, re-examining the research method and data again, and discussing with other Subject Matter Experts (SME) to explain why (Mancini & Marek, 2017). Also, acknowledging the research limitations, adequate preparation is critical because it allows a researcher to do things differently once given another opportunity to re-do the research.

The Plans To Maintain, Extend, Revise, And Discontinue The Project

The joint plans explain how the RTSL solution fits into the hospital’s ED, specifying benchmarks for success and giving comprehensive details for stakeholders to make funding decisions for project maintenance, extension, or review for critical improvements. The first plan of explaining the solution’s fitness will cover vital areas such as adaptability/responsiveness to operational changes. This solution must adapt and respond to ED changes while maintaining fidelity to the core components. Similarly, there is a need to set up an effective program leadership competence in giving details and benchmark specifications (Goodman & Steckler, 2019). This leadership will use shared skills and critical strategies for effective program maintenance, extension, or discontinuation.

References

De Freitas, L., Goodacre, S., O’Hara, R., Thokala, P., & Hariharan, S. (2020). Qualitative exploration of patient flow in a Caribbean emergency department. BMJ open, 10(12), e041422.

Goodman, R. M., & Steckler, A. B. (2019). A model for the institutionalization of health promotion programs. Family and Community Health, 11, 63–78

Mancini, L.I. & Marek, J.A. (2017). Sustaining community-based programs for families: Conceptualization and measurement. Family Relations, 53, 339-347.

O’Donovan, R., Van Dun, D., & McAuliffe, E. (2020). Measuring psychological safety in healthcare teams: developing an observational measure to complement survey methods. BMC medical research methodology, 20(1), 1-17.

Xu, M., Fralick, D., Zheng, J. Z., Wang, B., Tu, X. M., & Feng, C. (2017). The differences and similarities between the two-sample t-test and paired t-test. Shanghai archives of psychiatry, 29(3), 184.

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SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – Evidence-Based Practice Project Proposal: Evaluation Plan

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium. Evidence-Based Practice Project Proposal Final

• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses. Evidence-Based Practice Project Proposal Final

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. Evidence-Based Practice Project Proposal Final

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition. Evidence-Based Practice Project Proposal Final

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. Evidence-Based Practice Project Proposal Final

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score. Evidence-Based Practice Project Proposal Final

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Evidence-Based Practice Project Proposal Final

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. Evidence-Based Practice Project Proposal Final

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Evidence-Based Practice Project Proposal Final SOLVED

Evidence-Based Practice Project Proposal Final

For this assignment, you will synthesize the independent evidence-based practice project proposal assignments from NUR-550 and NUR-590 into a 4,500-5,000-word professional paper.

Final Paper

The final paper should:

1. Incorporate all necessary revisions and corrections suggested by your instructors.

2. Synthesize the different elements of the overall project into one paper. The synthesis should reflect the main concepts for each section, connect ideas or overreaching concepts, and be rewritten to include the critical aspects (do not copy and paste the assignments).

3. Contain supporting research for the evidence-based practice project proposal.

Main Body of the Paper

The main body of your paper should include the following sections:

1. Problem Statement

2. Organizational Culture and Readiness

3. Literature Review

4. Change Model, or Framework

5. Implementation Plan

6. Evaluation Plan

Appendices

The appendices at the end of your paper should include the following:

1. All final changes or revisions for the drafts that will be included in the appendices of your paper.

2. Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as the final appendix at the end of your paper. In each preceding course you have been directed to the Student Success Center for assistance with APA style, and have submitted the APA Writing Checklist to help illustrate your adherence to APA style. This final paper should demonstrate a clear ability to communicate your project in a professional and accurately formatted paper using APA style.

General Requirements

You are required to cite 10-12 peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin.

Benchmark – Evidence-Based Practice Project Proposal: Organizational Culture and Readiness

Grand Canyon University

NUR- 590

July, 14th 2022

Organizational Culture

Prime Healthcare Organization has a decentralized and hierarchy-based organizational and leadership structure, working in the best means to motivate subordinates and enhance growth and diversification. Real et al. (2017) confirm that decentralization in healthcare organizations improves communication for quality care and innovations. These elements change management by enhancing agility and response to a new standard. Besides, the organization’s mission is to save and promote hospitals to strengthen the compassion, quality, and better care to patients and communities. It is client-focused, where the organization targets the primary consumers of its services while focusing on the community as a whole. By being customer-based, the organization stands a chance to support change by enhancing convenience, quality, access, and response, while abolishing the boundaries. Madhani (2018) notes that by being customer-centric, the organization gains competitiveness by increasing customer engagement to promote collaboration.

Prime Healthcare Organization values include quality, compassion, community, and being physician-led by being committed to performance and exceptional care, providing dignity, serving and giving back to the community, and allowing direct health care at all levels by the doctors and clinicians. This element entails interprofessional collaboration in delivering care at diverse levels. The employees perceive the organization as decentralized, considering their active participation in the organization in all operations. Comment by Marina Reade: that is great!

Capacity Assessment Framework- Assessing Readiness for Change

A Capacity Assessment Framework is designed by the UNDP to evaluate the organizational readiness to promote global health intervention (Dearing, 2018). Dearing notes that assessing organizational readiness entails measuring motivation and the capacity for those firms or service providers to participate in initiatives. A capacity assessment framework is a tool for addressing the organization’s readiness to intervention or change, which entails identifying significant capacities that exist and the additional ones required to attain the objectives. Therefore, this tool is a salient element for analyzing desire or needed capacities against the already existing ones for enhancing planning and response. Based on this tool, capacity assessment framework, the Prime Healthcare Organization has exemplary capabilities in organizational attributes, defining the superb organizational culture through explicit mission and purpose, and recognizing the organizational values.

The capacity assessment framework analyzes the capabilities of the people, processes, technological resources, physical resources, and organizational systems as a perfect tool for assessing readiness for change. Diab et al. (2018) confirm that change readiness assessment examines the readiness of attitudes, resources, and conditions for capacity development initiatives. Prime Healthcare Organization is adequately ready for change considering its strengths in retaining the best skills, salient communication capabilities, decentralized governance, adequate technology, availability of the human, physical and financial resources, and strong stakeholder partnerships. It is customer-focused, offering an opportunity to integrate changing customer needs. However, frequent changes in the technology required are a threat to the organization, requiring vast investment and commitment. The readiness for change in this organization is high because of the strong team engagement or commitment to change and the collective capability to integrate change. Team spirit, information flow, and mutual support are palpable elements supporting the organization’s readiness to change.

Health Care Process and Systems Needing Improved Quality, Safety, and Cost-Effectiveness

Prime Healthcare Organization being a physician-led service provider, the doctors offer direct care, requiring interventions for feasible clinical interventions. The physician-led system requires an improvement in handling patients, managing the costs, and delivering quality-led care. As a result, it is imperative to initiate Quality improvement collaboratives (CICs) by using standardized methodologies and designations for collecting high-quality data (Luckenbaugh et al., 2017). Additionally, after the collection, the data analysis is conducted to offer feedback to the physicians, initiate collaboration techniques and procedures, and distribute the results to the entire team to disseminate coordinated care at the population level. De la Perrelle et al. (2020) confirm that integrating QICs at scale is imperative for consistent cost identification to form cost-saving healthcare systems in both acute and chronic illnesses.

Strategies to Enhance Organizational Readiness

A salient strategy identified for enhancing the organizational readiness in Prime Healthcare Organization and applicable to similar organizations is the Transtheoretical Model (TTM). Vax et al. (2021) confirm that TTM prepares the organization for change by aligning with a tailored approach to meet organizational needs. The primary stage of the TTM is pre-contemplation, where people have no idea regarding the need for change and the second phase is where the organization acknowledges the benefits of changes, although costs and risk outmatch the paybacks. Thus, at the third preparation and fourth action phases for the organizational readiness, the organization is bound to initiate training for upskilling and motivation, changing policy such as focusing on solution-focused approaches for adaptability, and encouraging the integration of technology in the healthcare practices (Vax et al., 2021). Besides, considering the integration of big data analytics is a salient approach for enhancing organizational readiness by improving intelligence and research-based intervention.

Stakeholders and Team Members in the Project

The identified stakeholders and teams in the evidence-based project for increasing patient satisfaction and raising the revenue collection while decreasing the LWBT rate include the ER nurses, informaticians, and the ACOs. The ER nurses will respond quickly to crises and identify real-time stabilization strategies for pain management and patient satisfaction. The informaticians will be responsible for comparing real-time location systems against the manual status updates for tracking patients to establish outcomes for each while focusing on data and big data for quality service delivery and technology integration. The ACOs will be responsible for coordinated care where reimbursements will be attached to quality measures, basing intervention on value.

Information and Communication Technologies

Electronic Health Records (EHR) are the primary requirement to enhance data collection and retrieval in real-time. Besides, the clinical decision support system (CDS) is essential as the primary tool for mitigating errors by guiding healthcare practitioners at the emergence department solution-focused approaches. Alotaibi and Federico (2017) acknowledge that CDS is a guiding tool to the correct procedures to attain desired outcomes. Through these technologies, practitioners are motivated to pursue outcomes according to the client’s needs by enhancing alerts, reminders, and notifications for process adherence.

Benchmark- Framework or Model for Change

NUR- 590

Professor Marina Reade

July 21, 2022

Change Process

Implementation Of Real-Time Location Systems In The ED

Few phases fail to sustain a fast move in adopting the change. Lewin’s model mostly becomes concerned with reinforcing the “change” over a prolonged period to overcome rejection and give enough training. The ED should utilize Lewin’s change model for change as the selected framework because it has solid support from senior hospital management and needs to make the entire healthcare facility dynamic by adopting real-time location systems in emergence service delivery.

Model’s Stages And Their Application In The ED

Under this model, the ED department will focus on the three-stage model that breaks changes into manageable phases of unfreezing, changing, and refreezing.

Unfreezing

In unfreezing chunk, the project team under its project manager will first “unfreeze” the ED’s current process and analyze its process improvement. Under this analysis, both patients and healthcare providers at the ED department affected by the change will understand the need to replace the manual system with the automated one (Šuc et al., 2019). Then, the project team will make its changes and guide nurses at the ED throughout the transition. Once the real-time location system gets deployed and tweaked as per nurses’ feedback, the project manager will solidify or “refreeze” the new status quo.

Before implementing the automated system at the ED, this change needs to go through the model’s initial stage of unfreezing. Since the nurses at the ED will resist the computerized system, the objective during the unfreezing phase becomes to create an awareness of how existing manual systems at admission and discharge levels are undermining the ED’s ability to offer quality emergence care services. Hussain et al., (2018) reveal that outdated behaviors, thinking ways, processes, patients, and ED structures get placed under in-depth examination to disclose to ED nurses how crucial a change is for the whole hospital to establish or sustain a competitive edge in the healthcare setting.

Communication will become a vital aspect during this unfreezing stage to keep nurses updated on the change, the reason behind the new system, and how it brings advantages to them and the entire ED. This unfreezing stage intends to create change awareness and make it appear crucial and urgent while motivating those affected by the change to accept (Šuc et al., 2019). Thus, the project team can create communication plans to inform all stakeholders within the ED about the shift and allocate time for conducting change-based meetings and discussions.

Changing

A real-time location system change is when the ED has to transition into this new state of using a computerized system while abandoning the manual records in entering, storing, and retrieving patients’ data. The implementation of the new system characterizes this transitioning phase. The implementation period is when the change becomes real such that the ED entirely runs the automated systems in all areas of patient admission and discharge. During changing stage, the ED struggles with the new system adoption. For instance, ED nurses experience uncertainty and fear, thus making it the most challenging step to overcome. Since the ED nurses are “unfrozen,” they can start to move.

Physicians and nurses start learning new behaviors, processes, and ways of thinking in the transitioning phase. The more prepared these healthcare providers are for change, the easier it is to overcome and complete. Since change requires precise planning and execution, the team leading the change will educate nurses on using the automated system, communicating vital information, and supporting nurses who have not become familiar with the change (Burnes, 2020). ED nurses will be reminded of the reasons for the change throughout the entire change process and benefit them once it.

Refreezing

Refreezing is the last stage of the framework for the change. It symbolizes the actions such as reinforcement, stabilization, and solidification of the operations after the change. The changes made to the ED processes, objectives, structure, and patients will get approved and refrozen within the department (Memon et al., 2021). Through this stage, the department becomes guaranteed that nurses do not revert to their outdated ways of using the manual system.

Therefore, the project manager should ensure the newly implemented system is not lost. Instead, the ED will have to cement the change into the hospital’s culture and maintain it as the accepted way of delivering emergency care services. The ED can ensure positive rewards and appreciation of individualized commitments to reinforce change since it is believed that positively reinforced behavior tends to be repetitive. Nurses showing consistency in using the new system can get rewarded weekly to encourage further change reinforcement.

NUR- 590 Literature Evaluation Table

Evidence-Based Practice Project Proposal: Evaluation Plan

Grand Canyon University

NUR-590

August 11th, 2022

Project Setting

This RTSL proposed project takes place in a vital access hospital emergency department (ED) that provides care services 24 hours daily and 365 days annually. This proposed facility for implementing the RTSL project includes Phoenix county in rural Arizona and two adjacent counties in rural Arizona.

The Expected Outcomes For The Project Proposal

After successfully implementing the project, the hospital expects to accomplish specific changes or results, mainly the ED. Since the RTSL project is about streamlining the workflow efficiency at the congested ED, the focus is benefiting stranded patients. The particular emphasis is enhancing the automation of the admission and discharge system. Therefore, the project’s expected outcomes are; eliminated delays due to shortened waiting time, reduced number of people leaving without being treated, increased revenue collection from the ED unit, and high patient satisfaction scores. These outcomes are aligned with the objectives and goals of the project of delivering quality healthcare services to every patient.

Data Collection Tools and One Data Collection Tool Effective For The Research Design

Since the selected research design is qualitative, the potential data collection tools are non-participant observations, informal conversational interviews, and observational process mapping (De Freitas et al., 2020). However, the best data collection tool effective for this research design is observational process mapping. This effectiveness is because, at the ED, one can observe the clinical pathway firsthand to note patients’ experiences while mapping the path to check areas that need improvements to ensure complete patient satisfaction. The observational process mapping employs direct observations to track process phases like ED patient activities, delays, admission decisions, and what happens to the patient. The map portrays the current form of the ED patient process and gets developed when patients experience the process (De Freitas et al., 2020). Thus, this mapping method depends on patient experience rather than perception or assumptions; therefore, making it a valid, reliable, and applicable tool.

Furthermore, during the mapping process, the presentation of different details may emerge. A high-level map will portray only the primary general steps in the process. De Freitas et al., (2020) reveal that a medium-level map presents great or maintained process steps, while a low-level map presents minute details of all stages. For instance, the patient car park lots, the patient seats in the waiting bay.

A Statistical Test For The Project

The selected statistical test for the project is the t-test. This statistical test as one type of inferential statistic determines the major difference between the means of two groups, which share particular features (Xu et al., 2017). In this project, the two groups are patients being admitted and discharged using the manual system and the other group using the automated system. Using the observational process mapping tool, it becomes easy to determine the differences using the t-test since the patient delays and admission activities for the two groups are closely noted and identified. In this qualitative research design, the data set recorded as the outcome from manual and automatic systems would follow a normal distribution (Xu et al., 2017). Thus, a t-test serves as a hypothesis testing tool, enabling testing an assumption that applies to the ED population’s challenges.

Methods Applicable To Observational Process Mapping

Group interviews, discovery workshops, direct work observation, and analysis of existing documentation are methods applicable to observational process mapping. Through group interviews, the mapping technique becomes reliable because the content of the process map is straightforward. Thus, a small sample of project participants will create a focused environment that helps collect necessary information via direct questioning of group members. Discovery workshops support the mapping tool when gaining consensus or buy-in from participants (O’Donovan et al., 2020). Generally, discovery workshops give comfort and engagement to the participants to acquire or capture the needed content for study.

Direct work observation becomes more efficient in ED, where the activities such as admission and discharge run manually. The method helps to oversee and observe tasks in real-time. For instance, in the ED, an observer observes the delays caused by using a manual system in entering, storing, and retrieving patient data. As a result of this observation, implementing the automated system guarantees better results since every patient admission process becomes computerized, and the workflow moves smoothly and rapidly.

The Outcomes Measurement and Evaluation

The outcome measurement and evaluation will be through interviews and focus groups based on the observational process mapping tool. Interviews conducted under controlled conditions with individuals or groups of people explore complex problems. Also, these interviews may be structured and performed with an unstructured set of questions asked in an open-ended approach. Similarly, tape-record interviews help measure and evaluate the outcomes since participants can recall a vital incident and describe the changes in detail (O’Donovan et al., 2020). When used to measure and assess outcomes, focus groups involve discussing ideas and insights to respond to open-ended questions of the researcher.

Strategies To Take If Outcomes Do Not Provide Expected Results

Since the research methodology, mainly in the discussion part, leads to unexpected findings or results, the best strategies to undertake are performing a detailed literature review, re-examining the research method and data again, and discussing with other Subject Matter Experts (SME) to explain why (Mancini & Marek, 2017). Also, acknowledging the research limitations, adequate preparation is critical because it allows a researcher to do things differently once given another opportunity to re-do the research.

The Plans To Maintain, Extend, Revise, And Discontinue The Project

The joint plans explain how the RTSL solution fits into the hospital’s ED, specifying benchmarks for success and giving comprehensive details for stakeholders to make funding decisions for project maintenance, extension, or review for critical improvements. The first plan of explaining the solution’s fitness will cover vital areas such as adaptability/responsiveness to operational changes. This solution must adapt and respond to ED changes while maintaining fidelity to the core components. Similarly, there is a need to set up an effective program leadership competence in giving details and benchmark specifications (Goodman & Steckler, 2019). This leadership will use shared skills and critical strategies for effective program maintenance, extension, or discontinuation.

Evidence-Based Practice Project Proposal: Implementation Plan

Evidence-Based Practice Project Proposal: Implementation Plan

Grand Canyon University- NUR 590

August 4th 2022

Evidence-Based Practice Project Proposal: Implementation Plan

Bringing changes to medical institutions involves many aspects. Different people, stages, barriers or obstacles, and impetus are involved throughout the process (Byers, 2017). This section describes how to implement the proposed solution. The solution refers to the problem previously presented in the hypothesis. Important decisions include behavioral changes. As a result, the use of complementary and alternative therapies is critical in the healing process.

Setting and access to potential subjects

Execution of the suggested plans will be checked at five significant clinical areas. Enrollment of subjects to take part in the investigation will be voluntary. Advertisements will be shown over time so exceptionally that however many individuals reasonably expected can discover the message. According to Barber (2018), all human examination requires informed consent from all members. Patients with diminished fulfillment in the crisis office should communicate their desire to participate in the examination by signing the informed consent. Signing the form implies that the patient knows about the assumptions for the investigation.

Time needed

It is important to have a certain period to realize the problems of real-time location systems. The use of the intervention strategy is essential to reduce the level of treatment left (LWBT) and increase income collection. The entire project will take five months. It takes a couple of months to develop the system, including testing and participation of all San Francisco health-care system providers. Comment by Marina Reade: I would like a bit more specific of a timeline as to what needs to occur in what order for example week 1…, week 2

Resources Needed

The resources of this system are different. Information technology, health-care professionals, support services, and suppliers represent human resources. These resources will be used to analyze the current system. The required clinical tools are analyzed during the workflow, and the EHR requires analysis. The implementation phase requires resources to simplify the task. This process means that you need to allocate a budget to cover the cost of the resources you need. The implementation phase is one of the most costly, and many change projects fail because they cannot collect all the resources they need. In the implementation process, the proposed solution, namely; reducing LWBT and increasing revenue, requires the following resources: The first important resource is the doctors in charge of various institutions. A real-time Location system will also be needed. Clinical researchers and doctors will be important contributors to my project. They train people in the community to support the projects. Patients can also provide information about who can participate in the project. As the system evolves, financial resources depend on human and technical resources. At this time, it is difficult to determine the cost. The factors that affect cost are the development of additional system software and hardware for auxiliary vendors. Comment by Marina Reade: Who would you want to get involved and how would you find the clinical researcher that is vested in your intervention?

Instruments and Methods for Monitoring the Implementation

The use of surveys is the most important component in evaluating the implementation of the recommended solution. These surveys will be sent to patients once a month as google forms. This is meant to adhere to COVID 19 health measures, which will limit physical contact amongst individuals. This method is recommended because it is easy to analyze (Patten, 2015). This method is well known to the staff and managers of many medical institutions. The use of surveys is also essential to reduce the cost of surveys. Most respondents answered or asked about the survey early in their lives. This can easily be combined with a simple progress question, as you need to check the box or X next to the question. Another advantage is that you can answer honestly because the answers are completed individually and privately.

The Intervention Delivery Process

The proposed solution will be delivered using an integrated way. The adoption of the system is one of the major interventions to be used. The participants will be educated on how to use the system. Without leaving anyone behind, all of the participants will take part in the intervention. Before doing the activity, it is critical to provide training and information on what to do and what not to do. The participants of the study will also be notified of the benefits of effectively using the system. The system will essentially improve the outcome of the research. Comment by Marina Reade: This paragraph is very vague about the intervention and using the system. I would have liked more specifics about you discussing what system and what intervention and how that will be delivered

Data Collection Plan

There are two data collection processes. The first is a survey of providers about the data items that the team has identified as needed, such as system usability and ease of use, and what else is needed. The second is the appointment of paid patients and the specific areas required by the Housing Development Department. During the data collecting phase of the survey, data will be collected continuously throughout the course of the 5-month period. After the intervention, participants are a good source of information on how things are going. Each week, participants fill out a form with the outcomes of their exposure to the system. The results show the effectiveness of interventions to reduce untreated levels (LWBT) and increase income. Data is gathered and entered into an Excel spreadsheet. When the research is over, the next stage is to interpret and analyze the findings. The data collection questionnaire will be comparable to the data collection questionnaire used to monitor the implementation.

Approaches to Dealing with Obstacles

Many healthcare facilities, especially free ones, lack the necessary training personnel (Naidu et al., 2020). Partnerships with higher education schools will be fruitful because many of them have the best training facilities in their sports departments. Other challenges will be based on the system’s running, whereby at some point, the systems may fail, thereby making it challenging to collect required data. This issue will be addressed by ensuring that a backup plan prevails. Training and workshops are conducted at each implementation stage to help each supplier and staff adapt to the system, increase the level of comfort and reduce implementation barriers. The introduction of laptop and tablet computers simplifies the use of the system by suppliers and further increases adoption opportunities.

The Plan’s Implementation Feasibility

Various costs will be incurred during the project, particularly during the implementation phase. The trainer fee is one of the expenses incurred. Because the study will only last a few weeks, it would be more cost-effective to recruit rather than pay trainers. Some of the costs that will be incurred during the implementation are listed below. Some costs will be incurred as far as the design and evaluation of the system is concerned. A usability test is paramount in the utilization of the system. The usability test will be carried three weeks before the pilot study to identify some of the challenges. When the study runs for five months, a data storage device will be required to store the data obtained.

Plan for the proposed solution’s maintenance, extension, revision, and discontinuation.

Based on the obtained data, the choice may include extending, sustaining, changing, or even terminating the intervention. The decision-making process is based on the results of the questionnaire given to the participants. The success of the data collection process was leveraged to provide positive feedback, allowing a preliminary choice to be made. Biweekly meetings and implementation plans that include feedback from vendors and staff who use the system are feasible. Advances in technology require various security checks, among others (Painuly et al., 2020). These changes are planned as needed, and the IT and Nursing Informatics Department will initiate the changes. The IT and Nursing Informatics department works with service providers, billing, and support departments as needed. Changes will be evaluated periodically to determine the needs of the change and the feasibility of the timeline.

Daysha,

Good job with your implementation plan and identifying what barriers you would need to overcome and stakeholders you need to engage to make this plan successful. Some of the content of your paper was a bit vague and did not show a clear path of implementation. I did not see that you included appendixes of the informed consent or the timeline.

Reference

Barber, B. (2018). Research on human subjects: Problems of social control in medical experimentation. Routledge

Byers, V. (2017). The challenges of leading change in health‐care delivery from the front‐line. Journal of Nursing Management, 25(6), 449-456.

Naidu, P., Fagan, J. J., Lategan, C., Devenish, L. P., & Chu, K. M. (2020). The role of the University of Cape Town, South Africa, in the training and retention of surgeons in Sub-Saharan Africa. The American Journal of Surgery, 220(5), 1208-1212.

Painuly, S., Kohli, P., Matta, P., & Sharma, S. (2020, December). Advance applications and future challenges of 5G IoT. In 2020 3rd International Conference on Intelligent Sustainable Systems (ICISS) (pp. 1381-1384). IEEE.

Patten, M. (2016). Questionnaire research: A practical guide. Routledge.

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

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We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium. Evidence-Based Practice Project Proposal Final

• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses. Evidence-Based Practice Project Proposal Final

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. Evidence-Based Practice Project Proposal Final

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition. Evidence-Based Practice Project Proposal Final

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. Evidence-Based Practice Project Proposal Final

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score. Evidence-Based Practice Project Proposal Final

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Evidence-Based Practice Project Proposal Final

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. Evidence-Based Practice Project Proposal Final

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Benchmark – Evidence-Based Practice Project Proposal: Organizational Culture and Readiness

Benchmark – Evidence-Based Practice Project Proposal

Grand Canyon University

NUR- 590

July, 14th 2023

Organizational Culture

Prime Healthcare Organization has a decentralized and hierarchy-based organizational and leadership structure, working in the best means to motivate subordinates and enhance growth and diversification. Real et al. (2017) confirm that decentralization in healthcare organizations improves communication for quality care and innovations. These elements change management by enhancing agility and response to a new standard. Besides, the organization’s mission is to save and promote hospitals to strengthen the compassion, quality, and better care to patients and communities. It is client-focused, where the organization targets the primary consumers of its services while focusing on the community as a whole. By being customer-based, the organization stands a chance to support change by enhancing convenience, quality, access, and response, while abolishing the boundaries. Madhani (2018) notes that by being customer-centric, the organization gains competitiveness by increasing customer engagement to promote collaboration.

Prime Healthcare Organization values include quality, compassion, community, and being physician-led by being committed to performance and exceptional care, providing dignity, serving and giving back to the community, and allowing direct health care at all levels by the doctors and clinicians. This element entails interprofessional collaboration in delivering care at diverse levels. The employees perceive the organization as decentralized, considering their active participation in the organization in all operations. Comment by Marina Reade: that is great!

Capacity Assessment Framework- Assessing Readiness for Change

A Capacity Assessment Framework is designed by the UNDP to evaluate the organizational readiness to promote global health intervention (Dearing, 2018). Dearing notes that assessing organizational readiness entails measuring motivation and the capacity for those firms or service providers to participate in initiatives. A capacity assessment framework is a tool for addressing the organization’s readiness to intervention or change, which entails identifying significant capacities that exist and the additional ones required to attain the objectives. Therefore, this tool is a salient element for analyzing desire or needed capacities against the already existing ones for enhancing planning and response. Based on this tool, capacity assessment framework, the Prime Healthcare Organization has exemplary capabilities in organizational attributes, defining the superb organizational culture through explicit mission and purpose, and recognizing the organizational values.

The capacity assessment framework analyzes the capabilities of the people, processes, technological resources, physical resources, and organizational systems as a perfect tool for assessing readiness for change. Diab et al. (2018) confirm that change readiness assessment examines the readiness of attitudes, resources, and conditions for capacity development initiatives. Prime Healthcare Organization is adequately ready for change considering its strengths in retaining the best skills, salient communication capabilities, decentralized governance, adequate technology, availability of the human, physical and financial resources, and strong stakeholder partnerships. It is customer-focused, offering an opportunity to integrate changing customer needs. However, frequent changes in the technology required are a threat to the organization, requiring vast investment and commitment. The readiness for change in this organization is high because of the strong team engagement or commitment to change and the collective capability to integrate change. Team spirit, information flow, and mutual support are palpable elements supporting the organization’s readiness to change.

Health Care Process and Systems Needing Improved Quality, Safety, and Cost-Effectiveness

Prime Healthcare Organization being a physician-led service provider, the doctors offer direct care, requiring interventions for feasible clinical interventions. The physician-led system requires an improvement in handling patients, managing the costs, and delivering quality-led care. As a result, it is imperative to initiate Quality improvement collaboratives (CICs) by using standardized methodologies and designations for collecting high-quality data (Luckenbaugh et al., 2017). Additionally, after the collection, the data analysis is conducted to offer feedback to the physicians, initiate collaboration techniques and procedures, and distribute the results to the entire team to disseminate coordinated care at the population level. De la Perrelle et al. (2020) confirm that integrating QICs at scale is imperative for consistent cost identification to form cost-saving healthcare systems in both acute and chronic illnesses.

Strategies to Enhance Organizational Readiness

A salient strategy identified for enhancing the organizational readiness in Prime Healthcare Organization and applicable to similar organizations is the Transtheoretical Model (TTM). Vax et al. (2021) confirm that TTM prepares the organization for change by aligning with a tailored approach to meet organizational needs. The primary stage of the TTM is pre-contemplation, where people have no idea regarding the need for change and the second phase is where the organization acknowledges the benefits of changes, although costs and risk outmatch the paybacks. Thus, at the third preparation and fourth action phases for the organizational readiness, the organization is bound to initiate training for upskilling and motivation, changing policy such as focusing on solution-focused approaches for adaptability, and encouraging the integration of technology in the healthcare practices (Vax et al., 2021). Besides, considering the integration of big data analytics is a salient approach for enhancing organizational readiness by improving intelligence and research-based intervention.

Stakeholders and Team Members in the Project

The identified stakeholders and teams in the evidence-based project for increasing patient satisfaction and raising the revenue collection while decreasing the LWBT rate include the ER nurses, informaticians, and the ACOs. The ER nurses will respond quickly to crises and identify real-time stabilization strategies for pain management and patient satisfaction. The informaticians will be responsible for comparing real-time location systems against the manual status updates for tracking patients to establish outcomes for each while focusing on data and big data for quality service delivery and technology integration. The ACOs will be responsible for coordinated care where reimbursements will be attached to quality measures, basing intervention on value.

Information and Communication Technologies

Electronic Health Records (EHR) are the primary requirement to enhance data collection and retrieval in real-time. Besides, the clinical decision support system (CDS) is essential as the primary tool for mitigating errors by guiding healthcare practitioners at the emergence department solution-focused approaches. Alotaibi and Federico (2017) acknowledge that CDS is a guiding tool to the correct procedures to attain desired outcomes. Through these technologies, practitioners are motivated to pursue outcomes according to the client’s needs by enhancing alerts, reminders, and notifications for process adherence.

References

Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi Medical Journal, 38(12), 1173-1180. /orders/doi.org/10.15537/smj.2017.12.20631

De la Perrelle, L., Radisic, G., Cations, M., Kaambwa, B., Barbery, G., & Laver, K. (2020). Costs and economic evaluations of quality improvement collaboratives in healthcare: A systematic review. BMC Health Services Research, 20(1). /orders/doi.org/10.1186/s12913-020-4981-5

Dearing, J. W. (2018). Organizational readiness tools for global health intervention: A review. Frontiers in Public Health, 6. /orders/doi.org/10.3389/fpubh.2018.00056

Diab, G. M., Safan, S. M., & Bakeer, H. M. (2018). Organizational change readiness and manager’ behavior in managing change. Journal of Nursing Education and Practice, 8(7), 68-77. /orders/doi.org/10.5430/jnep.v8n7p68

Luckenbaugh, A. N., Miller, D. C., & Ghani, K. R. (2017). Collaborative quality improvement. Current Opinion in Urology, 27(4), 395-401. /orders/doi.org/10.1097/mou.0000000000000404

Madhani, P. M. (2018). Building a customer-focused culture in organisations: Developing 7Cs model. International Journal of Business Excellence, 16(2), 199. /orders/doi.org/10.1504/ijbex.2018.10015931

Real, K., Bardach, S. H., & Bardach, D. R. (2017). The role of the built environment: How decentralized nurse stations shape communication, patient care processes, and patient outcomes. Health Communication, 32(12), 1557-1570. /orders/doi.org/10.1080/10410236.2016.1239302

Vax, S., Gidugu, V., Farkas, M., & Drainoni, M. (2021). Ready to roll: Strategies and actions to enhance organizational readiness for implementation in community mental health. Implementation Research and Practice, 2, 263348952098825. /orders/doi.org/10.1177/2633489520988254

Daysha,

You did a nice job of addressing the organizational cuture and how using the capacity assessment framework could aid in identifying the readiness of the organization to implement your suggested intervention. You incorporated the TTM as a strategy to incorporate your intervention of patient satisfaction and you identified who the stakeholders are and with what process and technology your intervention can be implemented. You were very thorough and clear with this paper.

Evidence-Based Practice (EBP)

Evidence-Based Practice (EBP)

Name

Institutional affiliation

Course

Date

Evidence-Based Practice (EBP) is the process of gathering, analyzing, and implementing research techniques to improve nurses’ clinical practices. EBP essential as it enhances the quality of treatment, reduces the antagonistic events, enhances patient satisfaction, and reduces the cost of tests and research about the illness (DeNisco & Baker, 2016). Nurse practitioners working in such settings will be working towards caring for patients who have abused drugs or are struggling to quit. It is essential to educate the nurses in ways that can easily understand what is expected of them while on the job rather than relying only on the knowledge gain in school. In comparison between EBP and other nursing specialties, both fields aim at adding more knowledge and skills to the nursing practitioners. Also, both fields give the practitioner a chance to choose and dedicate their career to a specific area, for instance, caring for the critically ill, and midwife or being a dialysis nurse. EBP differs from other specialists as it involves collecting data through research, analyzing, and implementing the acquired techniques in clinical practices. At the same time, as most of the registered nurse specialties require one to better their skills while on the job.

References

DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Burlington, MA: Jones & Bartlett Learning

Population- Vaping and E- cigarettes among young adults

Intervention-E cigarette prevention program, providing education and resources for students and teachers and family involvement

Comparison-Prevention programs in school versus public health interventions

Outcome- Reduced vaping and use of e-cigarettes, improved quality of life

Time- Over a period of 12 months

In order to formulate your evidence-based practice (EBP), you need to assess your organization. In this assignment, you will be responsible for setting the stage for EBP. This assignment is conducted in two parts: an organizational cultural and readiness assessment and the proposal/problem statement and literature review, which you completed in NUR-550.

Section A: Organizational Culture and Readiness Assessment

It is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation. Select an appropriate organizational culture survey tool and use this instrument to assess the organization’s readiness.

1. Develop an analysis of 250 words from the results of the survey, addressing your organization’s readiness level, possible project barriers and facilitators, and how to integrate clinical inquiry, providing strategies that strengthen the organization’s weaker areas.
2. Make sure to include the rationale for the survey category scores that were significantly high and low, incorporating details or examples. Explain how to integrate clinical inquiry into the organization.
3. Submit a summary of your results. The actual survey results do not need to be included.

Section B: Proposal/Problem Statement and Literature Review

In NUR-550, you developed a PICOT statement and literature review for a population quality initiative. In 500-750 words, include the following:

1. Refine your PICOT into a proposal or problem statement.
2. Provide a summary of the research you conducted to support your PICOT, including subjects, methods, key findings, and limitations.

General Guidelines:

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Benchmark – Evidence-Based Practice Project Proposal: Organizational Culture and Readiness

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section.

Rubric Detail

Select Grid View or List View to change the rubric’s layout.

NURS_6052_Module05_Week09_Discussion_Rubric

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. Benchmark – Evidence-Based Practice Project Proposal: Organizational Culture and Readiness

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Benchmark – Evidence-Based Practice Project Proposal: Organizational Culture and Readiness

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. Benchmark – Evidence-Based Practice Project Proposal: Organizational Culture and Readiness

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• Zero Plagiarism
• On-time delivery
• A-Grade Papers
• Free Revision
• 24/7 Support
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• Services Offered

• Custom paper writing
• Question and answers
• Essay paper writing
• Editing and proofreading
• Plagiarism removal services
• Multiple answer questions

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